Pregnancy during lactation, can medication abortion continue while breastfeeding?

Patient's question:

A friend of mine got pregnant while breastfeeding. I'm asking if it's safe to continue breastfeeding if she chooses medication abortion.

Doctor's answer:

The side effect with the least severity and ease of medication abortion is the induction of menstrual disorders, which manifests as shortened or prolonged menstrual cycles and increased menstrual flow. For breastfeeding women, the most significant impact is on breast milk. Since the drug components are excreted through the mammary glands and absorbed by the infant during breastfeeding, the infant's ability to compensate for the drug is weaker, and the drug in breast milk can have adverse effects on the baby's health. It is not advisable to choose medication abortion during pregnancy while breastfeeding.

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